| NPI | 1912611617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11351) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 11351) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-02-13 |